Lisa Dasher Anderson (NPI# 1790145258, PAC ID# 9638476179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790145258 |
| PAC ID by PECOS | 9638476179 |
| Professional Enrollment ID | I20160328001518 |
| Full Name | Lisa Dasher Anderson |
| Organization Legal Name | TATTNALL HOSPITAL COMPANY LLC |
| Address |
1000 B N Veterans Blvd Glennville GA 30427-8603 |
| Phone Number | 9126544599 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204907124 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111323 | OPTIM MEDICAL CENTER - TATTNALL |
| 110142 | EVANS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 B N Veterans Blvd, Glennville, GA 30427-8603 | 9126544599 | TATTNALL HOSPITAL COMPANY LLC |
| 247 A S Main St, Reidsville, GA 30453-4605 | 9125578990 | TATTNALL HOSPITAL COMPANY LLC |
| 247 S Main St, Reidsville, GA 30453-4605 | 9125571000 | TATTNALL HOSPITAL COMPANY LLC |
| 2317 E 1st St, Vidalia, GA 30453-4605 | 9125370888 | TATTNALL HOSPITAL COMPANY LLC |
| Organization Legal Name | TATTNALL HOSPITAL COMPANY LLC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric William Spreeman | Occupational Therapy | Tattnall Hospital Company LLC | 101 W Mulberry Blvd, Suite 140, Pooler, GA 31322 |
| Patrick Justin Lancaster | Family Medicine | Tattnall Hospital Company LLC | 247 S Main St, Reidsville, GA 30453-4605 |
| Patrick Hanson | Orthopedic Surgery | Tattnall Hospital Company LLC | 242 Industrial Blvd, Dublin, GA 31021-2904 |
| Gregory Paul Kolovich | Hand Surgery | Tattnall Hospital Company LLC | 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313-3991 |
| Thomas Cary Alexander Jr. | Orthopedic Surgery | Tattnall Hospital Company LLC | 810 Towne Park Dr, Suite 200, Rincon, GA 31326-5167 |
| Joel L Bond | Physical Medicine and Rehabilitation | Tattnall Hospital Company LLC | 247 A S Main St, Reidsville, GA 30453-4605 |
| James L Walker | Nurse Practitioner | Tattnall Hospital Company LLC | 380 A Cedar St, Metter, GA 30439-4042 |
| Megan K Ansley | Physical Therapy | Tattnall Hospital Company LLC | 2317 E 1st St, Vidalia, GA 30453-4605 |
| David Palmer | Orthopedic Surgery | Tattnall Hospital Company LLC | 119 B Victory Dr, Swainsboro, GA 30401-3234 |
| Elizabeth Batten | Physical Therapy | Tattnall Hospital Company LLC | 8201 Pinellas Dr, Bluffton, SC 29910-4133 |
| Street Address |
1000 B N VETERANS BLVD |
| City | GLENNVILLE |
| State | GA |
| Zip | 30427-8603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan W Piche | Optometry | Georgia Eye Institute of The Southeast, LLC | 605 S Veterans Blvd, Glennville, GA 30427-1775 |
| Jennifer Goodrich Bromley | Ophthalmology | Georgia Eye Institute of The Southeast, LLC | 605 S Veterans Blvd, Glennville, GA 30427-1775 |
| Victoria K Griffith | Physical Therapy | South Georgia Therapy Services, P.C. | 104 W Rustin St, Glennville, GA 30427-1805 |
| Kenneth L Durrence | Physical Therapy | South Georgia Therapy Services, P.C. | 104 W Rustin St, Glennville, GA 30427-1805 |
| City | GLENNVILLE |
| Zip Code | 30427 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLENNVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.